The EVV was implemented to prevent fraud but it does not capture the extra hours that are worked to care for the disabled when they are ill.  If a doctor agrees with the Plan of Care and the hours are authorized as necessary and a care provider can only record those hours on a timesheet, the EVV does not serve a purpose.  Because I actually am available 24 hours a day, the time I provide care varies from one day to the next.  It just does not make sense to clock-in and clock-out... if I had to clock-in and out everytime I completed a task, most days there would be 20 entries.  Some nights I get woken twice because our son can’t breathe so needs a breathing treatment or his water spilt.  Because a set number of hours are authorized, the consumer should just confirm that their care has been provided.  The EVV is not appropriate for live-in care providers